Provider Demographics
NPI:1487733564
Name:SAVIA, PHILIP V (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:V
Last Name:SAVIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-3702
Mailing Address - Country:US
Mailing Address - Phone:570-288-5441
Mailing Address - Fax:570-288-5842
Practice Address - Street 1:670 S RIVER ST STE 203
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1028
Practice Address - Country:US
Practice Address - Phone:570-552-7110
Practice Address - Fax:570-552-7115
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT175680-8905174400000X
NH14235174400000X
PAMD040014L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30208574Medicaid
UT000000411Medicare ID - Type Unspecified
NH001384601Medicare PIN
UTE43732Medicare UPIN